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HomeMy WebLinkAbout008-134-00-0200-LUP-1990-254 ' A lication fo X� yp r Land Use Fermit � County of Sawyer N 0 The undersigned hereby makes application for a Land Use Permit and agrees � that all work shall be done in accordance with the requirements oF the Sawyer °, � County Zoning Ordinance and the laws and regulations of the State of Wieconsin. PRIN'P - USL ONLY DLACK 1NY./PENCIL JOhh �. � ��nc�a � ��%e�� ��wra-v N Owner Builder � y�C 16 I ark C l,f�' Dr,��,e mailing address mailing addzess .�rl Gi t�� ���� ���oZ 3 � city,�e, zip r_±t1, stato, yir Building Land Use Zone District �n� � ( ) New ( ) Filling � (�Addition O Dredging � Lot size ���fp� J( ��J�//7 3 s � ( ) niteration ( ) Grading , � ' m n ( ) Moving on ( ) Acres ( ) ( ) New Construction - VeCk ' Size �L� fC wide ft wide �_D _�'�13� ft long ft long Floor area �(�(� sq ft sq ft ro Total hgt � � � to peak x '""d'"' c�r.P Stories � No. of bedrooms � rear lot line or waterline S� � Lalce- C�e�!'�e (year round) or (seasonal) i i i i c� Type of blda or addition �—_ ���� � N � ( ) Dwelling � � �y `� ( ) Garage (1) (2) car i � A's i � ( ) Storage building � � � `� i r ( ) 6oatlio�se � � �"I i N ( ) Livingroom � �`j�j� � � ( ) �edroom � � . � i �0� � ( ) Kitchen-dining i � ( ) Porch - enclosed/roofed i i ' (✓�Deck - open � � � � U ( ) i i ('P ( ) i i i i i � T e of constraction � -��r' �� YP _ � � , Q � �O (�Frame ( ) elock � � 6 -�' —�7 � Z O Log O Concrete �i 70' wt 25' �00� �� ( ) Pole ( ) Steel -i �� ( ) Metal ( ) `�i i� �i i � � i m Construction cost $ # ��G�. �� � �� i •��.' i i � � I Vo��_ Pg� of deed � �� � i i � C5�1 Vol �q, P9 [l� O i i t w i � n � p q � � � � Cer. Soil Test 08 �"� I� � r�W e .a�e. � OQ �' 8�'/0 � 33 - - r----cL road ------------------� o I '3 . Sanitaxy Permit o ' - o �z o ' x Issued 23 October 1990 Denied f ' DH conduct d on ite o October 8, 1990 - is at 90' 0 i � ��v� P��N � l��a��� Ql�,, John Wi owner -�o�ing Administrator C1 ��. —_� �� � R .�o �� II �o . ` � �+ �� � � �r. . � . � � . . . . . .. y � Z.��Z N',L�� N � . cs � � ti 2'Sbl � ot E J �f' . . Ja o 'n � C o. o �r1 . . � ' �y. ? p fv o .'2 V o � ? 0 0 ( b t�„e I� . ,i � �� r OZ•S°i1 I�J �;� —1 .` o � I xx_ o N o Z (�' o � O Q �M'�,�. ' a� � �' '`�? ~ I � . = Nm r w I � .._ . . . N �; .Z� . � . . � o �� ��• wa� � �o� M W O im. ' Wo, �ca m_ m � �.�.�� _ _� z•z a I(fl n ! :..� �y O2'.ry�� ' U �O � � ?o . �, � � , o J . � 9p �� o s-� c.a .,,, " 0 9 �' � k �'P p vm h OO. � � F` ` � .G ~ O . ' ��6 - z'�_ C 1m _ � �. 'r-a-1�.� {��,y�''v ^ � O � � ' .. , ,+�Y"2.1 - . 0 . . � O `*��`�� r�yk u o � (n o '� � e � . . �'yAQ`;� � � d° �'bo• o• o. �y'Y,,. -Kp . . 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C ui �+v El..�c�.s � � / J i mrNzno� 0-�1 � ���5� �v �. ��, y �mnf➢ cD m � i `% . �sNm�oZ� aR 1 � '�° p ��l � � � s�u OUn-" -(p T �oce• ` E� Dy�>79� T � �� e ANZMOJ� p n a. s3 d ptimn0 -1 f y � c z•$ :. ?���ommim i� � " o ^ = ffor fo �pc-1�>m Qv � : d` ,.� :C 9 (T-I��✓ � W ` ���n ��. �, .'.0�D-�j1 Z- o �: '�'7'`s� ra '" o • o p � - � omo � f - - - N _ ., . ,.�- c rN \ / 3 'I.2 a � • • ' � �2.4 � �2.1 � �2.9 : � �2.6 2.7 8 „� LAKE s.tt p 3 —� s, ,� :2.11 �2.5 0 `� CHETAC /' r 2.a ✓ Z � Y 3.1 ' �? ,.., ;. :s�7 � .�- , 2 �3.3 ,�.� :39 INDIAN BEACH PARK I ; , �3.12 :3.13 ,.,� � � � � �3.14 �3.5 Y �3.15 � `�s -�-- :�. „y � � 3T �# _ �^ � �:.I r3+8 �-: , . . ..,,, Y�r •�.9 � _ / r�a�w'� �'�`�-. .� !�: ,s °� SANITARY PERMIT APPLICATION �o�NTY -- � DILHR In accord with ILHR 83.05, Wis. Adm. Code ��� �� @ � � ��"'"""'�"'�" STATE SANIT RY PERMIT # � I � CST 88 - 198 114454 �, � -Attach compiete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER — '` N 8'h x 11 inches in size. S88 - 20435 -See reverse side for instructions for completing this application. PETITION � YES C� NO �. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR vaRiaNCE P�ERTY OWNER PROPERTY LOCATION �J a a GlJ, L s°F" ,�4 .��-''/4, S T3 , N, R 9 E (or� PRO�E�TY OW�'�M�LIN��RES$� �� \,� {� LOT NUMBER BLOCK NUMBER p� l!I Ld� Z � � � � 7 r� T v �CI Y, STATE ZIP CODE PHONE NUMBER O VIL AGE :� Ps �jq NEAREST ROAD, LAKE OR LANDMAFK i� Dn/ /IT /�� '" /z � `� tNEG�q�✓ ,B�t� L.� II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family � OR ❑ Public (Specify): II1. PURPOSE OF APPLICATION: (Check only one in #1 . Check ## 2, 3 or 4, if applicable) 1 . a. �Alew b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A S�nitary Permit was previously issued. Permit # Date Issued 3. ❑ ,4n Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. , IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1 . a. ❑ Conventional b. ❑ Alternative c. ❑ Experimental 2. a. ❑ System- b,X� Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1 . a. ❑ See 3 e Bed b. ❑ See a e Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA b. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes er inch): REQUIRED (Square Feet): PROPOSED S uare Feet): /" �! �� �� �� Feet ,�Private ❑ Joint ❑ 'ublic CAPACITY VI. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Fxper. INFORMATION New xisting Gallons Tanks Concrete glass App. Tanks Tanks structed Se tic Tank or Holdin Tank � ❑ ❑ ❑ ❑ ❑ Lift Pum Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system show on the attached plans. Plumber's Name (Print): Plumber' S ature: (No Stamps) P/ RSW No.: Business Phone Number: ��.���C,�Gd/� . ��� 1�5— ��-�- �.�s Plu ber's Address (Street, City, State, Zip Code): Name of Designer: /�'�/�� /v� ��� r�/� S"� � � VIII. SOIL EST INFORMATION Certified Soil Tester (CST Name . X 30.6 CST# � � iM $o � � h Q T !�� CST's ADDR SS (Street, City, St te, Zip Code) Phone Number: � � � IX. COUNTYID�PARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issui Agent Signature (No Stamps) � Approved ❑ Owner Given Initial Surcharge Fee AdverseDetermination $ 9 � . � � $ 25 . � 0 10 - 25 - 88 X. COMMENTS/REASONS FOR DISAPPROVAL: -- -- -� SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy Tu: Bureau of Plumbing, Owner, Plumber p I �../ � �.L.�/�.i `J �� �o�,,� l���L � � � - � � 4 � 5 . �� !�> ��-,e,� G/:�'� �,z. , ��f o,r/� ���1��',r/ ��'f2.3 st/�,c��v�� S� ��' r�� �/,� � � . lN'�v�,��P ���� �������� �ti''�i�-�r/ ,L��9G� L��/�- --__.. ; - -- --- _----- — -----------.—_—_ _ — , ' ��� '� _ - � �f �z�o � I f,�0f`�'���% 51��� �' ���°�� � �� �lo� � � � � ( �� � � __ ----- ------- -- �T �—�� � � � y �� � ; % , � ; ! ��� ; — �cl�,,✓ r� '; ;� ���j��,a�s�d�. zy i ;� ; . � � � � ��o�'�,��� ,���� s,y�� �oay,�� ,� � �� ;' �� �� ; I �----� ; ,;� �Q , �� ��Q�� i ��� ' , "" . �.� � .���E`+`���`�sY S ; � S5' ,���,5,•�� � r � � o� � ��;��,�,r t ///� e ,;,�, ��;� i �. iJ�r���'Ji =s=�� ��`' `�� ��.� I , '. \� � i� ,� �- �,� R �j14Ns �, ''' r , ; i ;`'� ;�r' � �� �� �rF,r'� E I � '�!5 Y3 t�t�t,.�c�� F���`1NGS i � �__ t ��� �,-�Us,R aN� I � --.�—'-� ��� t �F t','� S�E� i I ��� t�aF � � � �'�� ���1S�0 �--� ,:,.���. '� �� y�� � - ,�� ,; ;, ���������: � I �, �Q����P � �� , � � ,------'" —`�---___—_—_----'--"---- _ --_---___..._._ ,R�-----— �����,9G �.�ll� {,:�`':':�4;`� , :;:.•�� " _ . Application for Land Use Permit County of Sawyer y 0 E The undersigned hereby makes application for a Land Ose Permit and aqrees � that all work sha�l be done in accordance with the requirements of the Sawyer �, County Zoning Ordinance and the laws and regulations of the State of Wisconsin. t Patricia E. 2Iid PRINT - USE ONLY BLFICK INK/PENCIL ���/ ��L @ GVJN�I� � �6`� �� ���' / Builder � �Itl'�/J�✓fI/�Y�� J''r—.'�`�Z.� ma ling addr ss mailing address �� Egan, Minnesota 55123 city, state, zip city, state, zip Building Land Use Zone District RR-1 �New ( ) Filling S � ( ) Addition ( ) Dredging Lot size 180' x 165'/173' rt ( ) Alteration ( ) Grading m r�s ( ) Moving on ( ) Acres •71 C • ( ) ( ) � Q� � t7 New Construction N � t" Size fiC� ft wide � wide � 4 �/-� O �j C/ ft long ft long \`�z . (O Floor area /3�� sq ft �� 'v sq ft �� � �� � � Total hgt _��' _ to peak to peak x Stories � / No. of bedrooms � rear lot line or wate lin � (year round) oxx��xxX '`�� — " � i..� /6� i c� Ty-p/e of bldg or addition i i cn C (y' Dwelling � � �- "� i. i O Garage (1) (2) car i i °'o ( ) Storage building i i r.rt ( ) Boathouse � � `� i_ � r ( ) Livingroom � i i � ( ) Bedroom � � f i ( ) Kitchen-dining i i ( ) Porch - enclosed/roofed � � I I ( ) Deck - open � � � ( ) Q i �`J � i . cn c ) N � � 0 �' Type�f construction ��-7� � "'D/��N � (/��Frame ( ) Block �i � i � z ( ) Loq ( ) Concrete i i� � ( ) Pole ( ) Steel � �` i i ( ) Metal ( ) � i N � � i i m �f i i o Construction cost $ -�v�' p i i � Ln C> I vol 424 pg 185 of deed i I i � i � ' o csM vol Plat Pg Env 78 i � � �� -� �� � Cer. Soil 'rest 88-198 ! /�' i 'J� � --iNd-i� � i3 P .`'' ---------------- - - �zw ��� ---- L roa .. -----�T� --� Sanitary Permit 88-182 --------- --- - --_ I ' � � � �ssued 26 October 1988 �enied ^' x i £ \ �-} � � � T�!k k L In�.-i�- - ct6 i.)M_ w owner Zoning Adminis ato �G.�.��.�-�